Pediatric mandibular fractures have been successfully managed in various ways. The use of a lingual splint is an option. This article presents a 4-year old boy who was treated by an alternative conservative method with a combination of an arch bar plus a lingual splint, circum-mandibular wiring and IMF for the reduction, stabilization and fixation of a severely displaced bilateral man‌dibular body fracture. This technique is a reliable, noninvasive procedure; it also limits the discomfort and morbidity associated with maxillomandibular fixation or open reduction and internal fixation in pediatric patients

Introduction: Few researches have been conducted researches on the influence of the type of dental stone used for fabrication of casts on the adaptation of denture bases. The purpose of this study was to compare the effect of two types of stone casts on the accuracy of fit in complete denture bases. Methods: Using sixty fully replicated master casts obtained by duplicating a metal die representing an edentulous maxillary arch, 30 casts were poured in type III dental stone and 30 made from type V dental stone. All dentures were completely waxed using a same thickness of base plate wax and teeth were made for the purpose of accuracy. Following polymerization in the same working conditions, dentures were trimmed. After silicone injection between each denture and metal die was performed, weighing the elastomeric silicone layer was performed to study adaptation of dentures. Metal die was used both before copying the casts and after storing them in water for two months. Results: The values ​​for silicone layer weight (in grams) in the group with dental stone type III were greater than the values in type V regardless of the studied period (both after polymerization and after water immersion for a period of two months) in the sample (p<0.001). Conclusion: The use of high expansion stone (Type V) had improved the adaptation of denture bases.

Introduction: surgeons have always sought to use techniques to decrease pain and swelling. One of the solutions that can minimize these complications is closing the wound with the minimum number of sutures or sutureless technique. The goal of this study was to evaluate the role of sutureless technique in decreasing pain and swelling after impacted mandibular third molar surgery. Methods: nineteen patients with bilaterally mandibular impacted third molars (one side as control and the other as the case) entered the study. A single surgeon performed the surgery using a single protocol. After removing each tooth, the flap on the control side was sutured, while on the study side, it was handled sutureless. Post-operative pain evaluated with visual analogue scale (VAS) at first, third and seventh days after surgery. Inflammation evaluated with measuring the distance between tragus and oral commissure in the same distance. Result: In our study, in all patients, the average mean pain score increased from the first to the third day and decreased from third to seventh day and the difference in the average of pain scores in the aforementioned three days was significantly different(p<0.001). In all patients, the mean score for swelling increased from the first to third day and decreased from the third to seventh day and its difference in the aforementioned three days was significant(p<0.001). The pain score was similar in two groups in the first day. However, this score was significantly less in the study group than the control group in the third and seventh day (p<0.001). Conclusion: Results of this study showed that secondary wound closure (sutureless technique) was effective in decreasing pain and swelling after mandibular third molar surgery

Soft tissue-implant interface is an important anatomical feature contributing to the long-term success of dental implants. Based on the available evidence, different factors may influence biological width around implants including the surgical technique, implant loading, implant surface properties, abutment materials, implant position, and width of the peri-implant mucosa. The purpose of the present review was critical evaluation of the available data, regarding the factors that may influence the biologic width around implants and their subsequent effect on clinical performance of implants. Available literature on this subject published primarily in English from 1921 to 2014, was found by searching several electronic databases and by hand searching relevant journals as well. Totally, 70 relevant articles were selected for this narrative review. The structure of peri-implant mucosa has many similarities, as well as differences with its periodontal counterpart. Most studies report larger values for peri-implant biologic width compared to that of natural teeth. This literature review yielded contradictory data regarding the dimensions of the biologic width when different influential factors were taken into account.
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Introduction: Contact sports may lead to dental injures, which may often be prevented by using mouthguards. The purpose of this study was to evaluate the prevalence of traumatic dental injuries (TDI) in professional contact sport athletes and to determine the awareness regarding use of mouthguards in this group. Methods: A questionnaire containing a number of questions regarding the demographic data of participants, experiences of trauma and their behavior after that and use of mouthguard, was distributed amongst 100 contact sport athletes. Results: eighty athletes returned the questionnaire. The age range of most of the participants (44.2%) was between 20-30 .Also most of them had been practicing in contact sports for 1 to 5 years (37.3%). 26.2% of the athletes had experienced some sort of dental trauma. There was no significant difference between the injuries in males and females (p> 0.05). Luxation injuries were the most common type of TDI (47.7%), followed by crown fractures (42.1%) and avulsion (10.5%). 89.7% of athletes had already been informed about using mouthguards, however only 10.3% reported having used them. Conclusion: According to the results of this study, the rate of TDI among contact sport practitioners in Iran is high; however the use of mouthguards by athletes is low. Dentists and sports authorities should promote the use of mouthguards in contact sports to decreases the risk of dental trauma and tooth loss.

Background and aims: New dentin bonding agents and techniques have been developed to reduce microleakage and create higher bond strength. This in-vitro study compared the microleakage of three resin-based adhesives versus a GIC-based adhesive on class V composite restorations. Materials and Methods: Class V cavities were prepared on the buccal surfaces of 72 sound premolars, randomly assigned to six groups (n=12) and treated as follows: without any treatment (negative control group); total-etch (OptiBond Solo Plus); two-step self-etch (OptiBond XTR); one-step self-etch (OptiBond All-in-One) and GIC-based adhesive (Fuji bond LC) with pre-cure and co-cure techniques. The treated cavities were filled with a micro-hybrid resin composite (Point 4, Kerr). Following finishing and polishing procedures, the specimens were placed in 100% humidity, stored in distilled water, thermocycled and then immersed in a methylene blue, sectioned, evaluated for microleakage and scored on a 0 to 3 ordinal scale. Results: None of the adhesives tested were capable of completely eliminating marginal microleakage. There were statistically significant differences among the test groups at occlusal margins; but at cervical margins were not. The Fuji Bond LC with co-cure and control groups had significantly greater microleakage scores at the occlusal margins. At the cervical margins, the bonded restorations with OptiBond XTR and OptiBond All-in-One adhesives presented significantly lower microleakage scores. Also, there were no significant differences between the resin adhesive groups both at occlusal and cervical margins. The microleakage scores at the cervical margins were markedly higher than the occlusal margins in the groups bonded with OptiBond Solo Plus and Fuji Bond LC with pre-cure. The differences between Fuji Bond LC adhesive with pre-cure and co-cure techniques were significant. Conclusion: This study encourages application of the Fuji bond LC adhesive with pre-cure technique instead of the resin adhesives for marginal seal in class V composite restorations.

Aim: To investigate the effect of Emdogain gel (EMD) in pulpotomized primary molars and its clinical and radiographic outcomes. Methods and Materials: In this study, 18 lower second primary molars of nine children were treated by pulpotomy. The teeth were randomly assigned to the EMD (experimental) and Formocresol (control) groups in each patient (split mouth). Following removal of the coronal pulp and haemostasis, the pulp stumps were covered with Emdogain gel in the experimental group followed by application of resin-modified glass ionomer cement over the gel. In the control group, Formocresol (FC) was placed with a cotton pellet over the pulp stumps. Lastly, the teeth in both groups were restored with stainless steel crowns. Results: Nine children referred with clinical failure before/at two months follow up. The radiographic evaluation revealed furcation involvement and extensive radicular radiolucency in molars treated with Emdogain gel. Conclusion: The present study showed the failure of enamel matrix derivative in pulpotomy of primary molars; therefore, we do not recommend using Emdogain as a pulpotomy agent for treatment of cariously exposed primary teeth

Schwannomas are benign neoplasms with unknown etiology, which apparently arise from neural sheath Schwann cells. Intraoral schwannomas are solitary, slow-growing lesions occurring at different ages; these lesions are normally asymptomatic and in some cases, they are accompanied by pain and paresthesia if spotted in the intraosseous regions of the mandibles. Definitive diagnosis of schwannoma is established through histopathological examination and immunohistochemical evaluation, and the first-line treatment involves the surgical excision of the tumor with preservation of neighboring structures. Anti-S100 protein is the most significant antibody used to identify schwannomas. Schwannomas are known to have good prognosis, and if the lesion is completely removed, there is a low risk of recurrence. This systematic review aimed to determine the most significant variables influencing intraoral schwannoma and evaluate effective methods for the diagnosis and treatment of these tumors.